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[Translation of the сору of Certificate frоm the Ukrainian language into English]Сору
MinistryEnterprise Limited Liability Соmрапу "DKS Electric"
CERTIFIсATE # 41
issued to Melnykov Mykhailo Yuriyovych(surname, initials)
Post (speciality) electrician
Admitted to work in electrical installation with the voltage
uр to 1000 volt and higher
in the electrotechnical department
as an electrician.
Date of issue 6.03.2015
Head of the commission director fSigпaturef Gusak D.M.L.S. (post, signature) (surпаmе, initials)
[Stamp ofthe LLC "DKS Electric"] [Stamp of the LLC
Results of knowledge examination of lаЬоur protection(safety regulations, lаЬоur safety regulations)
Results of knowledge examination of work technique(operating instructions, standard operating procedures)
"DKS Electric"]
Я, перекладач Рубан Юлiя Миколаiвна, засвiдчую достовiрнiстьперекJIаду даного тексту с украiЪськоТ мови на англiйську мову
Examinationdate
Cause ofexamination
electricalsafetv sroun
commission decision(knows" doesn't know)
Next examinationdate
Signature ofheadofthe commission
5.03.15Regular
examinationIV knows 5.0з.16 |Sigпature]
4,0з.|6Regular
examinationIV knows 4.0з.17 |Sigпaturef
Examinationdate
Cause ofexamination
electricalsafetv srоuп
commission decision(knows, doesn't know)
Next examinationdate
Signature ofheadof the commission
5.03.15Regular
examinationIч knows 5.03.16 |Sigпature]
4.03.16Regular
examinationIч knows 4.0з.17 ýigпaturel
Results of knowledge examination of fire safety regulations
Examinationdate
саusе of examinationcommission decision
(knows. doesn't know)Next examination
dateSignature ofheadof the commission
5.03.15 Resular examination knows 5.03.16 ISiяпаturе1
4.03.16 Rеsulаr examination knows 4.0з.|7 ISisпature1
Gt
[Translation ofthe сору of Certificate from the Ukainian language into English]
Results of knowledge examination of regulations of the State Labour Protection Inspectionwhile реrfоrmiпg special works
Results of knowledge examination of regulations of the state Labour protection Inspectionwhile performing special works
City of Poltava, Poltava region, Ukraine.оп the 1Oth of November iotB l,Lazorenko О.V., private notary of Poltava municipal notarial аrеа,certify authenticity of this сору from the original document; in the latter no е.аirrrеs, additions,crossed out words, not provided corrections оr other peculiarities hаче been found
Registered in the list under # 9З2.Charged duty.
Private notary |Sigпaturef LazorenkoO.V.[Stamp: Private notary * Lazorenko Otha Viktorivna *
poltava municipal notarial area of poltava region * state Emblem]
Я, перекладач Рубан Юлiя МиколаiЪна, засвiдчую достовiрнiстьперекJIаду даного тексту с украiЪськоТ мови на англiйську мову
Examinationdate Name of regulations commission decision
(knows" doesn't know)Signature ofheadof the commission
5.03,15LаЬочr protection regulatory legal acts 0.00-2.24clauses 2;3;94; |04 knows |Sigпaturef
4,0з,16Labour protection replatory legal acts 0.00-2.24clauses 2;З;94;' l04 knows |Sigпaturel
Examinationdate Name of regulations commission decision
(knows. doesn't know)Signature ofheadof the commission
Information about medical examinationExamination
date Doctor's opinion Signatr.rre of the person responsiblefor the medical examination
21.01.15 Гlt |Sigпaturelз.02.1б fit |Sigпaturel
_)